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Equine veterinary journal2012; 45(2); 159-163; doi: 10.1111/j.2042-3306.2012.00588.x

Subclinical ultrasonographic abnormalities of the suspensory ligament branch of the athletic horse: A survey of 60 Thoroughbred racehorses.

Abstract: Ultrasonographic (US) abnormalities of the suspensory ligament branch (SLB) have been poorly investigated but can have considerable impact on market value and career path when encountered in athletic horses. There is a need for determination of the prevalence and relationship to clinical injury of these US abnormalities in the Thoroughbred (TB) racehorse. Objective: To establish the prevalence of, and the repeatability of an US grading system for, subclinical US abnormalities of the forelimb SLB in a population of UK TB flat racehorses. Methods: Ultrasonographic assessment of the forelimb SLBs of 60 TB racehorses free from history and clinical indication of SLB desmopathy in a single UK training yard was performed. Images were viewed independently by 2 blinded observers and graded for US abnormality. Interobserver agreement was assessed using Cohen's kappa statistic with 95% confidence intervals (95% CI). Results: Prevalence of horses with subclinical US abnormality of the forelimb SLB of moderate severity was 6.7%. Medial branches were overrepresented. Inter observer agreement was substantial for US grade (kappa = 0.743; 95% CI 0.652-0.834) and almost perfect for appearance of sesamoid bone at ligament insertion (kappa = 0.817; 95% CI 0.66-0.98). Conclusions: The study reveals that a proportion of TB racehorses in flat training free from history or clinical signs of SLB injury have US abnormalities that could negatively impact on market value and career path. Conclusions: Clinicians should be aware that US abnormalities of the SLB may not always be related to clinical desmopathy. Further longitudinal studies are required to determine whether such findings are predictive for future injury.
Publication Date: 2012-05-20 PubMed ID: 22607323DOI: 10.1111/j.2042-3306.2012.00588.xGoogle Scholar: Lookup
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  • Journal Article

Summary

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This research identifies the prevalence and impact of subclinical ultrasonographic abnormalities in the suspensory ligament branch of thoroughbred racehorses, shedding light on the potential risks accompanying these abnormalities for the sport and equine markets.

Ultrasonographic Abnormalities in Racehorses

Ultrasonographic anomalies of the suspensory ligament branch (SLB) in athletic horses can greatly impact the horse’s career and overall market value. Despite this significant effect, the topic remains understudied. This study aimed to measure the prevalence of these abnormalities in thoroughbred (TB) racehorses and to correlate them with relevant clinical injuries.

Study Methods and Population

The research involved performing ultrasonographic assessments on the forelimb SLBs of 60 TB racehorses from one training yard in the UK. These horses had no past indications or clinical cases of SLB desmopathy. The gathered images underwent grading for further evaluation by two independent blinded observers. The consistency of the observations between the two evaluators was determined through Cohen’s kappa statistic, along with a 95% confidence interval (CI).

  • The kappa statistic allows for the measurement of inter-rater agreement for qualitative items, or how closely the evaluations of two reviewers align.
  • The selected confidence interval is a statistical measure that can estimate the range in which an unknown parameter of a population has a specific probability of lying within.

Results of the Research

The results showed a 6.7% prevalence rate of TB racehorses possessing moderate-severity, subclinical ultrasonographic abnormalities in the forelimb SLB. The medial branches were notably more affected. The interobserver agreement measurements were substantial for the ultrasonographic grade (kappa = 0.743; 95% CI 0.652-0.834) and nearly perfect for the appearance of the sesamoid bone at ligament insertion (kappa = 0.817; 95% CI 0.66-0.98).

Implications and Recommendations

The study underlines that a segment of TB racehorses, though clear of signs or history of SLB injury, possess SLB ultrasonographic abnormalities that could potentially affect their market value and career trajectory negatively. It is thus essential for clinicians to be conscious of the fact that SLB ultrasonographic abnormalities may not always coincide with clinical desmopathy. The research also calls for more longitudinal studies to better predict whether these findings could serve as indicators for future injuries.

Cite This Article

APA
Ramzan PH, Palmer L, Dallas RS, Shepherd MC. (2012). Subclinical ultrasonographic abnormalities of the suspensory ligament branch of the athletic horse: A survey of 60 Thoroughbred racehorses. Equine Vet J, 45(2), 159-163. https://doi.org/10.1111/j.2042-3306.2012.00588.x

Publication

ISSN: 2042-3306
NlmUniqueID: 0173320
Country: United States
Language: English
Volume: 45
Issue: 2
Pages: 159-163

Researcher Affiliations

Ramzan, P H L
  • Rossdale and Partners, Beaufort Cottage Stables, High Street, Newmarket, Suffolk, UK. pete.ramzan@rossdales.com
Palmer, L
    Dallas, R S
      Shepherd, M C

        MeSH Terms

        • Animals
        • Female
        • Forelimb / diagnostic imaging
        • Horse Diseases / diagnostic imaging
        • Horses / injuries
        • Ligaments / diagnostic imaging
        • Ligaments / pathology
        • Male
        • Physical Conditioning, Animal
        • Running
        • Sports
        • Sprains and Strains / diagnostic imaging
        • Sprains and Strains / veterinary
        • Ultrasonography

        Citations

        This article has been cited 10 times.
        1. Jaafar SE, Al-Bayti AAH, Abdullah SI. Using Short Term of High Power Laser Therapy in Horse's Tendon Injuries. Arch Razi Inst 2021 Nov;76(5):1437-1444.
          doi: 10.22092/ari.2021.356105.1779pubmed: 35355739google scholar: lookup
        2. Read RM, Boys-Smith S, Bathe AP. Subclinical Ultrasonographic Abnormalities of the Suspensory Ligament Branches Are Common in Elite Showjumping Warmblood Horses. Front Vet Sci 2020;7:117.
          doi: 10.3389/fvets.2020.00117pubmed: 32258068google scholar: lookup
        3. Seghrouchni M, Elkasraoui H, Piro M, Alyakine H, Bouayad H, Chakir J, Tligui N, Elallali K, Azrib R. Osteoarticular radiographic findings of the distal forelimbs in Tbourida Horses. Heliyon 2019 Sep;5(9):e02514.
          doi: 10.1016/j.heliyon.2019.e02514pubmed: 31687602google scholar: lookup
        4. Boado A, Pollard D, Dyson S. Retrospective Analysis of Suspensory Ligament Branch Injuries in 70 Dressage Horses. Animals (Basel) 2025 Oct 23;15(21).
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        5. Wang T, Yang X, Wang C, Wang J, Meng J, Yao X, Zeng Y, Ren W. Bridging Breeds: Transcriptomic Insights into Immune Traits of Yili, Thoroughbred, and Kazakh Horses. Life (Basel) 2025 Sep 23;15(10).
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        7. Guest DJ, Birch HL, Thorpe CT. A review of the equine suspensory ligament: Injury prone yet understudied. Equine Vet J 2025 Sep;57(5):1167-1182.
          doi: 10.1111/evj.14447pubmed: 39604165google scholar: lookup
        8. Peat FJ, Kawcak CE, McIlwraith CW, Berk JT, Keenan DP. Concurrent radiological and ultrasonographical findings in the forelimb proximal sesamoid bones and adjacent suspensory ligament branches in yearling and 2-year-old Thoroughbred sales horses. Equine Vet J 2025 May;57(3):654-665.
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        9. Peat FJ, Kawcak CE, McIlwraith CW, Berk JT, Keenan DP, Selberg KT, Ojeda A. Ultrasonography of the suspensory ligament branches in yearling and 2-year-old Thoroughbred sales horses: Prevalence, progression of findings and associations with racing performance. Equine Vet J 2025 Mar;57(2):384-397.
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        10. Nagy A, Boros K, Dyson S. Magnetic Resonance Imaging, Computed Tomographic and Radiographic Findings in the Metacarpophalangeal Joints of 40 Non-Lame Thoroughbred Yearlings. Animals (Basel) 2023 Nov 9;13(22).
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